Individual
ANGELICA MARIA CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 N ROSE ST STE 211, ESCONDIDO, CA 92027-3109
(760) 855-6660
Mailing address
105 N ROSE ST STE 211, ESCONDIDO, CA 92027-3109
(760) 855-6660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW105681
CA
1041C0700X
Clinical Social Worker
Primary
ASW105681
CA
Other
Enumeration date
08/01/2022
Last updated
10/10/2023
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